Fill out the form below and we will call you as soon as possible to schedule your appointment. Please expect a response during office hours Monday through Friday. If you do not receive a response during office hours within 24 hours please call: 801-387-8350.

We ask that prior to your scheduled appointment you check with your insurance company for your benefits and coverage with our office. If you don't have health insurance, a minimum prepayment of $75 will be required at the time of service.

This appointment request form should not be used for urgent or emergency care. If you are experiencing life threatening symptoms dial 911 or go to the nearest emergency room.

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